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观点:在为人类临床试验制定和发布饮食干预措施时需要考虑的关键因素。

Perspective: Key Considerations When Developing and Publishing Dietary Interventions for Human Clinical Trials.

机构信息

Department of Nutritional Sciences, University of Texas at Austin, Austin, TX, United States; Department of Pediatrics, Dell Medical School, Austin, TX, United States.

PROVA US, Hunt Valley, MD, United States.

出版信息

J Nutr. 2024 Oct;154(10):2904-2908. doi: 10.1016/j.tjnut.2024.08.024. Epub 2024 Aug 30.

DOI:10.1016/j.tjnut.2024.08.024
PMID:39218398
Abstract

A key guiding principle in the 2020-2025 Dietary Guidelines for Americans emphasizes the need for individuals to choose eating habits that allows for personal, cultural, and traditional preferences while establishing a high-quality diet. This concept becomes a daunting task given the need to reduce the consumption of foods higher in saturated fat, sodium, and/or added sugar-which are typically found in familiar, highly palatable foods most-often liked and consumed in the United States. Similarly, in nutrition intervention studies, adherence to healthier dietary patterns is typically low because of many factors, including reduced taste, flavor, and familiarity to the study foods. Increasing evidence illustrates the promising role of herbs and spices to maintain acceptability of healthier food options for nutrition interventions. This perspective article was informed by a Satellite Session presented at the American Society for Nutrition's annual meeting, Nutrition 2023, entitled, "Developing Culturally Appropriate Recipes for Human Clinical Trials," which explored several proposed best practice guidelines when developing nutrition interventions to improve dietary adherence and acceptability within clinical trials. The session also highlighted a need to include sufficient detail concerning the types and amounts of specific foods included within nutrition interventions in combination with preparation methods and study recipes, including herbs and spices, to improve intervention reproducibility and translatability for future research, dietary guidelines, and clinical practice.

摘要

2020-2025 年美国膳食指南的一个主要指导原则强调,个人需要选择能够兼顾个人、文化和传统偏好的饮食习惯,同时建立高质量的饮食。考虑到需要减少饱和脂肪、钠和/或添加糖含量高的食物的摄入——这些食物通常存在于美国人们最常喜欢和食用的熟悉的、非常美味的食物中,这一概念变得颇具挑战性。同样,在营养干预研究中,由于多种因素,包括对研究食物的味道、风味和熟悉度降低,对更健康饮食模式的依从性通常较低。越来越多的证据表明,草药和香料在维持营养干预中更健康食品选择的可接受性方面具有广阔前景。本文观点主要来源于美国营养学会年会上的一次卫星会议,题为“为人类临床试验开发文化适宜的食谱”,会议探讨了在制定营养干预措施以提高临床试验中的饮食依从性和可接受性时,应遵循的若干最佳实践准则。该会议还强调了需要详细说明营养干预中包含的特定食物的类型和数量,以及准备方法和研究食谱,包括草药和香料,以提高未来研究、饮食指南和临床实践的干预可重复性和可翻译性。

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